SSQ Home Health Care,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011055 Issued in TX

Legal business name

SSQ HOME HEALTH CARE,INC

Practice address

4445 Corner Brook Lane
Fort Worth, TX 76123

Phone

(817) 333-4499

Fax

(817) 297-8936

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Woodberry, RN

Title

Administrator

Phone

(817) 333-4499

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1063593226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 CORNER BROOK LANE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "817-333-4499",
            "fax_number": "817-297-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORNER BROOK LANE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "817-333-4499",
            "fax_number": "817-297-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSQ HOME HEALTH CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "WOODBERRY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-333-4499",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlene Areta St John, FNP-BC
• Dorothy G St John, LCSW
• Diane St Pierre, ACNP
• Sierra St Valentine, MS, CCC-SLP

• Home Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.